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Pg1}{\bkmkend Pg1}\par\pard\sect\sectd\sbknone\cols2\colno1\colw8073\colsr160\colno2\colw3867\colsr160\ql \li1195\sb0\sl-207\slmult0 \par\pard\ql \li1195\sb0\sl-207\slmult0 \par\pard\ql \li1195\sb0\sl-207\slmult0 \par\pard\ql \li1195\sb0\sl-207\slmult0 \par\pard\ql \li1195\sb0\sl-207\slmult0 \par\pard\ql \li1195\sb0\sl-207\slmult0 \par\pard\ql \li1195\sb0\sl-207\slmult0 \par\pard\ql \li1195\sb0\sl-207\slmult0 \par\pard\ql \li1195\sb0\sl-207\slmult0 \par\pard\ql \li1195\sb0\sl-207\slmult0 \par\pard\ql \li1195\sb0\sl-207\slmult0 \par\pard\ql \li1195\sb0\sl-207\slmult0 \par\pard\ql \li1195\sb0\sl-207\slmult0 \par\pard\ql \li1195\sb0\sl-207\slmult0 \par\pard\ql \li1195\sb0\sl-207\slmult0 \par\pard\ql \li1195\sb0\sl-207\slmult0 \par\pard\ql \li1195\sb0\sl-207\slmult0 \par\pard\ql \li1195\sb12\sl-207\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf1\f2\fs18 Tom Koutsoumpas, \ul0\nosupersub\cf2\f3\fs18 TKoutsoumpas@mlstrategies.com\par\pard\ql \li1195\sb12\sl-207\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf1\f2\fs18 Jeremy Rabinovitz, \ul0\nosupersub\cf2\f3\fs18 JRabinovitz@mlstrategies.com\par\pard\ql \li1195\sb14\sl-207\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf1\f2\fs18 Alexander Hecht, \ul0\nosupersub\cf2\f3\fs18 AHecht@mlstrategies.com\par\pard\ql \li1195\sb11\sl-207\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf1\f2\fs18 Kevin M. Kappel, \ul0\nosupersub\cf2\f3\fs18 KMKappel@mlstrategies.com\par\pard\ql \li1195\sb14\sl-207\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf1\f2\fs18 Benjamin J. Schorr\ul0\nosupersub\cf4\f5\fs18 ,\ul0\nosupersub\cf1\f2\fs18 \ul0\nosupersub\cf2\f3\fs18 BJSchorr@mlstrategies.com\par\pard\ql \li4359\sb0\sl-230\slmult0 \par\pard\ql \li4359\sb168\sl-230\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf6\f7\fs20 HEALTH CARE REFORM UPDATE\par\pard\ql \li5326\sb61\sl-230\slmult0 \up0 \expndtw-2\charscalex100 June 14, 2011\par\pard\ql \li1152\sb216\sl-253\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf7\f8\fs22 Implementation of the Affordable Care Act (ACA)\par\pard\column \ql \li8233\sb0\sl-207\slmult0 \par\pard\ql \li8233\sb0\sl-207\slmult0 \par\pard\ql \li8233\sb0\sl-207\slmult0 \par\pard\ql \li8233\sb0\sl-207\slmult0 \par\pard\ql \li8233\sb0\sl-207\slmult0 \par\pard\ql \li8233\sb0\sl-207\slmult0 \par\pard\ql \li8233\sb0\sl-207\slmult0 \par\pard\ql \li8233\sb0\sl-207\slmult0 \par\pard\ql \li8233\sb0\sl-207\slmult0 \par\pard\ql \li8233\sb0\sl-207\slmult0 \par\pard\ql \li8233\sb0\sl-207\slmult0 \par\pard\ql \li8233\sb0\sl-207\slmult0 \par\pard\ql \li8233\sb0\sl-207\slmult0 \par\pard\ql \li8233\sb0\sl-207\slmult0 \par\pard\ql \li8233\sb0\sl-207\slmult0 \par\pard\ql \li8233\sb0\sl-207\slmult0 \par\pard\ql \li20\sb63\sl-207\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf1\f2\fs18 ML Strategies, LLC\par\pard\qj \li20\ri1225\sb8\sl-206\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf2\f3\fs18 701 Pennsylvania Avenue, N.W. \up0 \expndtw-2\charscalex100 Washington, D.C. 20004 USA \up0 \expndtw-2\charscalex100 202 434 7300\par\pard\ql \li20\sb0\sl-206\slmult0 \up0 \expndtw-5\charscalex100 202 434 7400 fax\par\pard\ql \li20\sb3\sl-207\slmult0 \up0 \expndtw-2\charscalex100 www.mlstrategies.com \par\pard\sect\sectd\sbknone \ql \li1152\ri1377\sb249\sl-250\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf7\f8\fs22 On June 6\ul0\nosupersub\cf8\f9\fs14 th\ul0\nosupersub\cf7\f8\fs22 House Republican Policy Committee Chair Tom Price (R-GA) introduced H.R. 2077, legislation to \line \up0 \expndtw-3\charscalex100 repeal the medical loss ratio (MLR) requirements in the ACA. The Congressman\u8223?s press release on the \line \up0 \expndtw-4\charscalex100 introduction of the bill can be found {\field{\*\fldinst {HYPERLINK http://tomprice.house.gov/press-release/price-introduces-bill-protect-choices-health-care-coverage }}{\fldrslt {\ul0\nosupersub\cf9\f10\fs22 here.}}} \par\pard\ql \li1152\ri1309\sb230\sl-250\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf7\f8\fs22 On June 6\ul0\nosupersub\cf8\f9\fs14 th\ul0\nosupersub\cf7\f8\fs22 the Department of Health and Human Services (HHS) announced it was launching a demonstration \line \up0 \expndtw-2\charscalex100 project to help promote patient centered medical homes with support from the ACA. The demonstration \line \up0 \expndtw-2\charscalex100 provides for $42 million over three years to fund health centers implementing a medical home model and care \line \up0 \expndtw-2\charscalex100 coordination for up to 195,000 Medicare patients. The HHS press release on the Federally Qualified Health \line \up0 \expndtw-2\charscalex100 Center Advanced Primary Care Practice (FQHC APCP) demonstration project can be found {\field{\*\fldinst {HYPERLINK http://www.hhs.gov/news/press/2011pres/06/20110606a.html }}{\fldrslt {\ul0\nosupersub\cf9\f10\fs22 here.}}} \par\pard\qj \li1152\sb0\sl-240\slmult0 \par\pard\qj\li1152\ri1232\sb19\sl-240\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf7\f8\fs22 On June 6\ul0\nosupersub\cf8\f9\fs14 th\ul0\nosupersub\cf7\f8\fs22 Thirty-two House Republican members sent a letter to HHS Secretary Kathleen Sebelius asking for a \line \up0 \expndtw-2\charscalex100 report by the Secretary by June 15\ul0\nosupersub\cf8\f9\fs14 th\ul0\nosupersub\cf7\f8\fs22 on all types of ACA waivers. The letter requests information on the waivers \line \up0 \expndtw-2\charscalex100 that have been denied and those that are still pending. The letter can be found {\field{\*\fldinst {HYPERLINK http://huelskamp.house.gov/images/stories/Sebelius_HHS_Waiver_Letter_6-2-11.pdf }}{\fldrslt {\ul0\nosupersub\cf9\f10\fs22 here.}}} \par\pard\ql \li1152\sb0\sl-246\slmult0 \par\pard\ql\li1152\ri1305\sb10\sl-246\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf7\f8\fs22 On June 6\ul0\nosupersub\cf8\f9\fs14 th\ul0\nosupersub\cf7\f8\fs22 the Associated Press reported that a Montana nonprofit group that includes the former state auditor \line \up0 \expndtw-2\charscalex100 John Morrison is planning to apply for federal funding to offer a health insurance alternative to large health \line \up0 \expndtw-2\charscalex100 insurers. The group would form a co-op, and as stated by the group, will try to offer low-cost insurance by 2013 \line \up0 \expndtw-3\charscalex100 or 2014. The report can be found {\field{\*\fldinst {HYPERLINK http://www.forbes.com/feeds/ap/2011/06/06/business-us-insurance-co-op-montana_8502426.html }}{\fldrslt {\ul0\nosupersub\cf9\f10\fs22 here.}}} \par\pard\ql \li1152\sb0\sl-245\slmult0 \par\pard\ql\li1152\ri1277\sb10\sl-245\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf7\f8\fs22 On June 6\ul0\nosupersub\cf8\f9\fs14 th\ul0\nosupersub\cf7\f8\fs22 the House\u8223?s Health Care Innovation Task Force chaired by Reps. Allyson Schwartz (D-PA) and \line \up0 \expndtw-2\charscalex100 Kathy Castor (D-FL) sent a letter with comments on the Accountable Care Organization (ACO) rule to CMS \line \up0 \expndtw-2\charscalex100 Administrator Don Berwick. The comments offered some support for the rule and included concerns with the \line \up0 \expndtw-2\charscalex100 rule along with recommendations to strengthen it. The executive summary can be found {\field{\*\fldinst {HYPERLINK file:///C:/Documents%20and%20Settings/bjschorr/My%20Documents/HEALTH%20CARE%20INNOVATION%20TASK%20FORCE.pdf }}{\fldrslt {\ul0\nosupersub\cf9\f10\fs22 here}}}\ul0\nosupersub\cf7\f8\fs22 and the comments \line \up0 \expndtw-3\charscalex100 can be found {\field{\*\fldinst {HYPERLINK file:///C:/Documents%20and%20Settings/bjschorr/My%20Documents/HCITF%20ACO%20comments%206%206%2011.pdf }}{\fldrslt {\ul0\nosupersub\cf9\f10\fs22 here.}}} \par\pard\qj \li1152\sb0\sl-250\slmult0 \par\pard\qj\li1152\ri1288\sb1\sl-250\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf7\f8\fs22 On June 6\ul0\nosupersub\cf8\f9\fs14 th\ul0\nosupersub\cf7\f8\fs22 MedPAC sent a comment letter with six recommendations meant to simplify the ACO program and \line \up0 \expndtw-2\charscalex100 reduce uncertainty. MedPAC agreed with many providers that exposing providers to the risk of losses in the first \line \up0 \expndtw-2\charscalex100 three years is a bad idea but disagreed with providers on the current savings thresholds. The letter can be found \par\pard\ql \li1152\sb0\sl-239\slmult0 \up0 \expndtw-3\charscalex100 {\field{\*\fldinst {HYPERLINK http://www.medpac.gov/documents/06062011_ACO_CMS1345_MedPAC_COMMENT.pdf }}{\fldrslt {\ul0\nosupersub\cf9\f10\fs22 here.}}} \par\pard\ql \li5021\sb0\sl-207\slmult0 \par\pard\ql\li5021\sb0\sl-207\slmult0 \par\pard\ql\li5021\sb0\sl-207\slmult0 \par\pard\ql\li5021\sb0\sl-207\slmult0 \par\pard\ql\li5021\sb0\sl-207\slmult0 \par\pard\ql\li5021\sb193\sl-207\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf1\f2\fs18 www.mlstrategies.com \par\pard\sect\sectd\fs24\paperw12240\paperh15840\pard\sb0\sl-240{\bkmkstart Pg2}{\bkmkend Pg2}\par\pard\ql \li1152\sb0\sl-220\slmult0 \par\pard\ql\li1152\sb0\sl-220\slmult0 \par\pard\ql\li1152\ri4911\sb59\sl-220\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf10\f11\fs20 June 14, 2011 \line \up0 \expndtw-2\charscalex100 Page 2 \par\pard\qj \li1152\sb0\sl-246\slmult0 \par\pard\qj\li1152\ri1491\sb33\sl-246\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf7\f8\fs22 On June 6\ul0\nosupersub\cf8\f9\fs14 th\ul0\nosupersub\cf7\f8\fs22 The American Medical Group Association also wrote a letter to CMS with comments about the \line \up0 \expndtw-2\charscalex100 proposed ACO rule. The group expressed concerns with the current iteration of the rule but said they were \line \up0 \expndtw-2\charscalex100 hopeful for the design based on the Pioneer ACO program. In the letter they discussed a variety of changes to \line \up0 \expndtw-2\charscalex100 the governance and shared savings aspects of the program. The letter can be found {\field{\*\fldinst {HYPERLINK http://www.amga.org/Advocacy/ACO/ACOCommentsFINALJune6.pdf }}{\fldrslt {\ul0\nosupersub\cf9\f10\fs22 here.}}} \par\pard\qj \li1152\sb0\sl-240\slmult0 \par\pard\qj\li1152\ri1395\sb19\sl-240\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf7\f8\fs22 On June 7\ul0\nosupersub\cf8\f9\fs14 th\ul0\nosupersub\cf7\f8\fs22 CMS issued minor corrections to the Pioneer ACO request for applications in the Federal Register. \line \up0 \expndtw-2\charscalex100 The errors were technical and typographical errors and the corrections can be found {\field{\*\fldinst {HYPERLINK http://www.gpo.gov/fdsys/pkg/FR-2011-06-08/html/2011-14078.htm }}{\fldrslt {\ul0\nosupersub\cf9\f10\fs22 here.}}} \par\pard\qj \li1152\sb0\sl-245\slmult0 \par\pard\qj\li1152\ri1250\sb11\sl-245\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf7\f8\fs22 On June 7\ul0\nosupersub\cf8\f9\fs14 th\ul0\nosupersub\cf7\f8\fs22 the Integrated Healthcare Association sent CMS a letter detailing comments and recommendations \line \up0 \expndtw-2\charscalex100 on the ACO rule. The letter said that the proposed performance measurement requirements are too burdensome \line \up0 \expndtw-3\charscalex100 for newly-formed ACOs; CMS\u8223?s reliance on multiple sources of data will enhance data reliability and provider \line \up0 \expndtw-2\charscalex100 trust in ACO performance measurement; and that performance scoring is a good approach but should reward \line \up0 \expndtw-2\charscalex100 both attainment and improvement to incentivize performance across ACOs. The letter can be found {\field{\*\fldinst {HYPERLINK http://www.iha.org/pdfs_documents/home/CMS_IHAACOLetter_060611.pdf }}{\fldrslt {\ul0\nosupersub\cf9\f10\fs22 here.}}} \par\pard\ql \li1152\sb249\sl-253\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf7\f8\fs22 On June 7\ul0\nosupersub\cf8\f9\fs14 th\ul0\nosupersub\cf7\f8\fs22 HHS announced the availability of about $40 million of ACA funds to strengthen chronic disease \par\pard\qj \li1152\ri1250\sb18\sl-240\slmult0 \up0 \expndtw-3\charscalex100 prevention programs in state and territories. The initiative targets the nation\u8223?s five leading chronic disease-related \line \up0 \expndtw-2\charscalex100 causes of death and disability: heart disease, cancer, stroke, diabetes, and arthritis. The press release by HHS can \line \up0 \expndtw-3\charscalex100 be found {\field{\*\fldinst {HYPERLINK http://www.hhs.gov/news/press/2011pres/06/20110607a.html }}{\fldrslt {\ul0\nosupersub\cf9\f10\fs22 here.}}} \par\pard\ql \li1152\sb250\sl-253\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf7\f8\fs22 On June 8\ul0\nosupersub\cf8\f9\fs14 th\ul0\nosupersub\cf7\f8\fs22 the International Foundation of Employee Benefit Plans released the results of a survey that says \par\pard\qj \li1152\ri1231\sb0\sl-260\slmult0 \up0 \expndtw-2\charscalex100 employers are more likely to shift costs to their workers as costs for health care go up by making them pay higher \line \up0 \expndtw-2\charscalex100 deductibles and more of the premiums as a result of the ACA. The press release by the group can be found {\field{\*\fldinst {HYPERLINK http://www.ifebp.org/AboutUs/PressRoom/Releases/pr_060811.htm }}{\fldrslt {\ul0\nosupersub\cf9\f10\fs22 here.}}} \par\pard\qj \li1152\ri1344\sb234\sl-246\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf7\f8\fs22 On June 8\ul0\nosupersub\cf8\f9\fs14 th\ul0\nosupersub\cf7\f8\fs22 CMMI held an Open Door Forum at which they announced they were extending the deadline for \line \up0 \expndtw-2\charscalex100 applicants interested in becoming Pioneer ACOs to send in letters of intent and applications. Letters of intent \line \up0 \expndtw-2\charscalex100 will now be due on June 30\ul0\nosupersub\cf8\f9\fs14 th\ul0\nosupersub\cf7\f8\fs22 and applications will have to be post marked by August 19. The changed dates and \line \up0 \expndtw-3\charscalex100 more information on the Pioneer ACO applications can be found {\field{\*\fldinst {HYPERLINK http://innovations.cms.gov/areas-of-focus/seamless-and-coordinated-care-models/pioneer-aco-application/ }}{\fldrslt {\ul0\nosupersub\cf9\f10\fs22 here.}}} \par\pard\qj \li1152\ri1305\sb229\sl-253\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf7\f8\fs22 On June 8\ul0\nosupersub\cf8\f9\fs14 th\ul0\nosupersub\cf7\f8\fs22 the 11\ul0\nosupersub\cf8\f9\fs14 th\ul0\nosupersub\cf7\f8\fs22 Circuit Court of Appeals heard oral arguments in the lawsuit against the federal government \up0 \expndtw-2\charscalex100 on the constitutionality of the ACA. If the court rules against the 26 states in the suit, Florida Attorney General \line \up0 \expndtw-2\charscalex100 Pam Bondi (R) indicated the group will attempt to take the suit directly to the Supreme Court rather than to the \up0 \expndtw-3\charscalex100 full Appeals Court. \par\pard\ql \li1152\sb227\sl-253\slmult0 \up0 \expndtw-2\charscalex100 On June 9\ul0\nosupersub\cf8\f9\fs14 th\ul0\nosupersub\cf7\f8\fs22 the New York state exchange bill was introduced by its original sponsor, State Senator James Seward \par\pard\ql \li1152\sb7\sl-253\slmult0 \up0 \expndtw-2\charscalex100 (R). The bill establishes an exchange in accordance with the ACA passed in 2010. The text of the bill can be \par\pard\qj \li1152\ri1294\sb0\sl-240\slmult0 \up0 \expndtw-2\charscalex100 found {\field{\*\fldinst {HYPERLINK http://assembly.state.ny.us/leg/?default_fld=&bn=S05652&term=2011&Summary=Y&Text=Y }}{\fldrslt {\ul0\nosupersub\cf9\f10\fs22 here.}}}\ul0\nosupersub\cf7\f8\fs22 On June 13\ul0\nosupersub\cf8\f9\fs14 th\ul0\nosupersub\cf7\f8\fs22 , New York Governor Andrew Cuomo (D) put forth an alternative bill that would give \line \up0 \expndtw-3\charscalex100 the marketplace more bargaining powers. \par\pard\ql \li1152\sb248\sl-253\slmult0 \up0 \expndtw-2\charscalex100 On June 9\ul0\nosupersub\cf8\f9\fs14 th\ul0\nosupersub\cf7\f8\fs22 the Alabama state Senate approved a 2012 ballot initiative calling for an amendment to the state \par\pard\qj \li1152\ri1438\sb18\sl-240\slmult0 \up0 \expndtw-2\charscalex100 constitution to let Alabama opt out of the federal health care law. The state House approved the same measure \line \up0 \expndtw-3\charscalex100 in April. Details on the vote can be found {\field{\*\fldinst {HYPERLINK http://blog.al.com/spotnews/2011/06/alabama_lawmakers_ok_public_vo.html }}{\fldrslt {\ul0\nosupersub\cf9\f10\fs22 here.}}} \par\pard\ql \li1152\sb250\sl-253\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf7\f8\fs22 Other HHS and Federal Regulatory Initiatives \par\pard\ql \li1152\sb227\sl-253\slmult0 \up0 \expndtw-2\charscalex100 On June 7\ul0\nosupersub\cf8\f9\fs14 th\ul0\nosupersub\cf7\f8\fs22 the American Hospital Association wrote in a letter to president Obama asking him to extend \par\pard\qj \li1152\ri1410\sb10\sl-250\slmult0 \up0 \expndtw-2\charscalex100 subsidies for the treatment of illegal immigrants in the reform legislation being considered by the White House. \line \up0 \expndtw-2\charscalex100 The subsidy for uncompensated care under the Medicare Modernization Act expired in 2008 and the estimated \line \up0 \expndtw-2\charscalex100 cost of uncompensated care is $40 billion a year. The letter can be found {\field{\*\fldinst {HYPERLINK http://www.aha.org/aha/letter/2011/110607-let-umbdenstock-obama.pdf }}{\fldrslt {\ul0\nosupersub\cf9\f10\fs22 here.}}} \par\pard\ql \li1152\ri1329\sb230\sl-250\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf7\f8\fs22 On June 8\ul0\nosupersub\cf8\f9\fs14 th\ul0\nosupersub\cf7\f8\fs22 the American Hospital Association sent a letter to CMS asking them to revise its proposed inpatient \line \up0 \expndtw-2\charscalex100 prospective payment system rule for FY2012 to reduce the proposed documentation and coding offset. The \line \up0 \expndtw-3\charscalex100 letter can be found {\field{\*\fldinst {HYPERLINK http://www.aha.org/aha/letter/2011/110608-cl-fy12ippsprprule.pdf }}{\fldrslt {\ul0\nosupersub\cf9\f10\fs22 here.}}} \par\pard\ql \li5021\sb0\sl-207\slmult0 \par\pard\ql\li5021\sb0\sl-207\slmult0 \par\pard\ql\li5021\sb172\sl-207\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf1\f2\fs18 www.mlstrategies.com
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}}\par\pard\sect\sectd\fs24\paperw12240\paperh15840\pard\sb0\sl-240{\bkmkstart Pg3}{\bkmkend Pg3}\par\pard\ql \li1152\sb0\sl-220\slmult0 \par\pard\ql\li1152\sb0\sl-220\slmult0 \par\pard\ql\li1152\ri4911\sb59\sl-220\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf10\f11\fs20 June 14, 2011 \line \up0 \expndtw-2\charscalex100 Page 3 \par\pard\qj \li1152\sb0\sl-250\slmult0 \par\pard\qj\li1152\sb0\sl-250\slmult0 \par\pard\qj\li1152\ri1746\sb16\sl-250\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf7\f8\fs22 On June 8\ul0\nosupersub\cf8\f9\fs14 th\ul0\nosupersub\cf7\f8\fs22 the Office of the National Coordinator for Health IT (ONCHIT) announced the launch of the \line \up0 \expndtw-2\charscalex100 Investing in Innovations (i2) Initiative that uses a combination of prizes and competitions to promote key \line \up0 \expndtw-2\charscalex100 advances in the field of health IT. The HHS announcement can be found {\field{\*\fldinst {HYPERLINK http://www.hhs.gov/news/press/2011pres/06/20110608a.html }}{\fldrslt {\ul0\nosupersub\cf9\f10\fs22 here\ul0\nosupersub\cf7\f8\fs22 .}}} \par\pard\ql \li1152\sb0\sl-246\slmult0 \par\pard\ql\li1152\ri1257\sb8\sl-246\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf7\f8\fs22 On June 8\ul0\nosupersub\cf8\f9\fs14 th\ul0\nosupersub\cf7\f8\fs22 a work group of the Health Information Technology Policy Committee suggested to ONCHIT that \line \up0 \expndtw-4\charscalex100 the office put in place a one-year delay in the implementation of stage-2 criteria of achieving \u8222?meaningful use\u8223? \line \up0 \expndtw-3\charscalex100 under the electronic medical record incentive program. In the work group\u8223?s letter justifying the delay, members \line \up0 \expndtw-3\charscalex100 wrote that a failure to delay would present an \u8220?insurmountable timing challenge\u8221? for groups trying to participate. \par\pard\qj \li1152\sb0\sl-240\slmult0 \par\pard\qj\li1152\ri1314\sb19\sl-240\slmult0 \up0 \expndtw-2\charscalex100 On June 10\ul0\nosupersub\cf8\f9\fs14 th\ul0\nosupersub\cf7\f8\fs22 CMS wrote to state Medicaid agencies to inform them that they can offer same-sex couples typical \line \up0 \expndtw-2\charscalex100 financial and asset protections when a partner goes into a nursing home or care facility as they do with opposite-\line \up0 \expndtw-3\charscalex100 sex couples in similar situations. The letter can be found {\field{\*\fldinst {HYPERLINK http://www.cms.gov/smdl/downloads/SMD11-006.pdf }}{\fldrslt {\ul0\nosupersub\cf9\f10\fs22 here.}}} \par\pard\ql \li1152\sb250\sl-253\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf7\f8\fs22 Other Congressional and State Initiatives \par\pard\ql \li1152\sb0\sl-246\slmult0 \par\pard\ql\li1152\ri1357\sb7\sl-246\slmult0 \up0 \expndtw-2\charscalex100 On June 6\ul0\nosupersub\cf8\f9\fs14 th\ul0\nosupersub\cf7\f8\fs22 Sen. Debbie Stabenow (D-MI), House Energy & Commerce Committee Chairman Fred Upton (R-\line \up0 \expndtw-3\charscalex100 MI), and Deputy Assistant Secretary of Commerce Peter Perez joined AdvaMed\u8223?s President Steve Ubl for an \line \up0 \expndtw-2\charscalex100 event in Michigan highlighting a \u8220?Competitiveness Agenda\u8221? for the medical device industry. Congressman \line \up0 \expndtw-5\charscalex100 Upton\u8223?s press release on the event can be found {\field{\*\fldinst {HYPERLINK http://upton.house.gov/News/DocumentSingle.aspx?DocumentID=244963 }}{\fldrslt {\ul0\nosupersub\cf9\f10\fs22 here.}}} \par\pard\qj \li1152\sb0\sl-246\slmult0 \par\pard\qj\li1152\ri1604\sb8\sl-246\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf7\f8\fs22 On June 7\ul0\nosupersub\cf8\f9\fs14 th\ul0\nosupersub\cf7\f8\fs22 37 Democratic Senators led by Sen. Jay Rockefeller (D-WV) wrote a letter to President Obama \line \up0 \expndtw-2\charscalex100 urging the White House not to allow dramatic cuts in the Medicaid program as a part of any deficit reduction \line \up0 \expndtw-2\charscalex100 deal. The letter says that Senate Democrats are ready to improve state flexibility without compromising the \line \up0 \expndtw-3\charscalex100 health and well-being of beneficiaries. The letter can be found {\field{\*\fldinst {HYPERLINK http://rockefeller.senate.gov/press/Medicaid%20Block%20Grant%20Funding%20Letter%20to%20Obama%2006072011%20(2).pdf }}{\fldrslt {\ul0\nosupersub\cf9\f10\fs22 here.}}} \par\pard\ql \li1152\sb0\sl-240\slmult0 \par\pard\ql\li1152\ri1209\sb19\sl-240\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf7\f8\fs22 On June 7\ul0\nosupersub\cf8\f9\fs14 th\ul0\nosupersub\cf7\f8\fs22 the House Republican Doctor\u8223?s Caucus, which includes 18 physicians and three nurses, sent a formal \up0 \expndtw-2\charscalex100 invitation to President Obama to meet and discuss health issues. The President reportedly agreed to such a \line \up0 \expndtw-2\charscalex100 meeting verbally according to Rep. Phil Roe (R-TN), the lead proponent of repealing the IPAB. \par\pard\ql \li1152\sb250\sl-253\slmult0 \up0 \expndtw-2\charscalex100 On June 9\ul0\nosupersub\cf8\f9\fs14 th\ul0\nosupersub\cf7\f8\fs22 twenty-eight Republican Senators sent a letter to CMS Administrator Don Berwick in defense of \par\pard\ql \li1152\sb7\sl-253\slmult0 \up0 \expndtw-3\charscalex100 Indiana\u8223?s recently passed state law that plans to defund Planned Parenthood. The letter asks Berwick to \par\pard\ql \li1152\ri1333\sb0\sl-250\slmult0 \up0 \expndtw-2\charscalex100 reconsider his ruling that the legislation was illegal. The letter can be found {\field{\*\fldinst {HYPERLINK http://www.sba-list.org/sites/default/files/content/shared/CMS_Letter.pdf }}{\fldrslt {\ul0\nosupersub\cf9\f10\fs22 here.}}}\ul0\nosupersub\cf7\f8\fs22 That same day, the Texas state \line \up0 \expndtw-2\charscalex100 legislature voted to approve a similar provision defunding Planned Parenthood in addition to expanding \line \up0 \expndtw-3\charscalex100 Medicaid managed-care plans. \par\pard\ql \li1152\sb218\sl-253\slmult0 \up0 \expndtw-2\charscalex100 On June 10\ul0\nosupersub\cf8\f9\fs14 th\ul0\nosupersub\cf7\f8\fs22 Senator Joe Lieberman (I-CT) wrote an op-ed in the Washington Post detailing his plan for \par\pard\ql \li1152\sb7\sl-253\slmult0 \up0 \expndtw-2\charscalex100 Medicare savings. The plan slowly raises the age of eligibility, combines Part A and B deductibles, raises \par\pard\qj \li1152\ri1275\sb0\sl-246\slmult0 \up0 \expndtw-2\charscalex100 premiums for new enrollees, limits Medigap coverage, and raises taxes on people earning more than $250,000. \line \up0 \expndtw-2\charscalex100 Senator Lieberman expressed a desire to have his proposal considered as an alternative that may be able to gain \line \up0 \expndtw-3\charscalex100 the support of both Republicans and Democrats in the ongoing debate addressing our nation\u8223?s deficits. The op-\line \up0 \expndtw-4\charscalex100 ed can be found {\field{\*\fldinst {HYPERLINK http://www.washingtonpost.com/opinions/how-medicare-can-be-saved/2011/06/06/AGexjqNH_story.html?hpid=z3 }}{\fldrslt {\ul0\nosupersub\cf9\f10\fs22 here.}}} \par\pard\ql \li1152\sb0\sl-246\slmult0 \par\pard\ql\li1152\ri1343\sb1\sl-246\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf7\f8\fs22 On June 10\ul0\nosupersub\cf8\f9\fs14 th\ul0\nosupersub\cf7\f8\fs22 Sens. Bob Casey (D-PA) and Richard Burr (R-NC) co-authored a letter to Senate appropriators \line \up0 \expndtw-2\charscalex100 asking for the group to spare the National Institutes of Health (NIH) from major budget cuts as the \line \up0 \expndtw-3\charscalex100 Appropriations Committee works on trimming the country\u8223?s spending levels. A copy of the letter can be found \line \up0 \expndtw-4\charscalex100 {\field{\*\fldinst {HYPERLINK http://www.parkinsonsaction.org/sites/default/files/NIH_DC_letter_FY_2012.pdf }}{\fldrslt {\ul0\nosupersub\cf9\f10\fs22 here\ul0\nosupersub\cf7\f8\fs22 .}}} \par\pard\ql \li5021\sb0\sl-207\slmult0 \par\pard\ql\li5021\sb0\sl-207\slmult0 \par\pard\ql\li5021\sb0\sl-207\slmult0 \par\pard\ql\li5021\sb0\sl-207\slmult0 \par\pard\ql\li5021\sb0\sl-207\slmult0 \par\pard\ql\li5021\sb0\sl-207\slmult0 \par\pard\ql\li5021\sb0\sl-207\slmult0 \par\pard\ql\li5021\sb0\sl-207\slmult0 \par\pard\ql\li5021\sb171\sl-207\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf1\f2\fs18 www.mlstrategies.com
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